| SERVICE PACKAGE (Please tick the box/es of the service/s you require) |
|
|
|
|
|
|
|
|
|
| Registered Company Name |
|
| Trading As |
|
| Company Registration Number |
|
VAT Registration No. |
|
| Telephone Number |
|
|
|
| Cell Number |
|
Expected/Last Year’s Turnover |
|
| Physical Address |
|
| Postal Address |
|
| KEY DECISION MAKER (Contact person who oversees this project.) |
| Full Name and Surname |
|
| Job Title |
|
Contact No |
|
| Email Address |
|
| PERSON RESPONSIBLE FOR PAYMENTS |
| Full Name and Surname |
|
| Job Title |
|
Office Number |
|
| Email Address |
|
| PERSON RESPONSIBLE FOR PAYROLL |
| Full Name and Surname |
|
| Job Title |
|
Contact No |
|
| Email Address |
|
| PERSON RESPONSIBLE FOR SKILL DEVELOPMENT |
| Full Name and Surname |
|
| Job Title |
|
Contact No |
|
| Email Address |
|
| Our Service Partnership Agreement |
|
|
|
I, the under signed have read and agree to the above terms and conditions.
|
|
|
|
|
|
|
| DEBIT ORDER MANDATE (Only required to be completed by clients who will be using the debit order service.) |
| Name of Account Holder |
|
| Name of Bank |
|
Branch Name |
|
| Account Number |
|
Branch Code |
|
| Type of Account |
|
Total Amount (incl. VAT) to be Debited |
|
| Full Name of Authorized Signatory |
|
| Title of Authorized Signatory |
|
| Authorizing Signature |
|
| This signed Authority and Mandate refers to our contract as dated as on signature here of ("the Agreement"). I/We hereby authorize you to issue and deliver payment instructions to the bank for collection against my / our above mentioned account at my / our above mentioned bank (or any other bank or branch to which I/We may transfer my / our account) on condition that the sum of such payment instructions will never exceed my / our obligations as agreed to in the Agreement, and commencing on the commencement date and continuing until this Authority and Mandate is terminated by me / us by giving you notice in writing of no less than 20 ordinary working days, and sent by prepaid registered post or delivered to your address indicated above. |
|
The individual payment instructions so authorized to be issued must be issued and delivered as follows:
I. On the 1st day ("payment day") of each and every month commencing on Enter Date. In the event that the payment day falls on a Saturday, Sunday or recognized South African public holiday, the payment day will automatically be the very next ordinary business day.
I/We understand that the withdrawals hereby authorized will be processed through a computerized system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. Each transaction will contain a number, which must be included in the said payment instruction and if provided to you should enable you to identify the Agreement.
A payment reference is added to this form before the issuing of any payment instruction. I/We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.
|
|
MANDATE
I/We acknowledge that all payment instructions issued by you shall be treated by my/our above mentioned bank as if the instructions had been issued by me/us personally.
|
|
CANCELLATION
I/ We agree that although this Authority and Mandate may be cancelled by me / us, such cancellation will not cancel the Agreement.
I/We shall not be entitled to any refund of amounts which you have withdrawn while this authority was in force, if such amounts were legally owing to you.
|
|
ASSIGNMENT
I/We acknowledge that this Authority may be ceded to or assigned to a third party if the agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.
I, the undersigned have read and agree to the Click To Submit The Form To Us above terms and conditions.
|
|
|
|
|
|
|
| Signature (As used for signing cheques or credit card vouchers) |
|
| |
|
|
|
